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FREMONT FAMILY DENTISTRY
NPI 1326194218
Dentist - General Practice in Seattle, WA

Active since January 25, 2007CLIA 50D1006765 · Microscopy
4464 FREMONT AVE N, SUITE 103, SEATTLE, WA 98103(206) 267-7300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Fremont Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREMONT FAMILY DENTISTRY (NPI 1326194218) is a healthcare organization registered as a general practice in Seattle, Washington and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Mahvash Khajavi-harvey, Dentis, as its authorized official.

NPPES Registry Identity

NPI1326194218
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFREMONT FAMILY DENTISTRY
Location Address4464 FREMONT AVE N, SUITE 103Seattle, WA 98103-7273
Mailing Address4464 Fremont Ave N, Suite 103Seattle, WA 98103-7273
Phone(206) 267-7300
Organization SubpartNo
Authorized OfficialMahvash Khajavi-harveyDentis · (206) 267-7300
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326194218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 7667
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4464 FREMONT AVE N, Seattle, WA 98103
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D1006765

Fremont Family Practice, LLC · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D1006765
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Harvey
Laboratory Phone(206) 267-7300
Laboratory LocationFremont Family Practice, LLC6804 Greenwood Ave N, Seattle, WA 98103
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TASNIM MARSHA HARRIS LMT
Massage Therapist
4464 FREMONT AVE N, #102
SEATTLE, WA 98103
King County (206) 779-9302
DR. DAVID ALLEN HARVEY M.D.
Family Medicine
4464 FREMONT AVE N, SUITE 103
SEATTLE, WA 98103
King County (206) 267-7300
MS. ELIZABETH CONROY BAYLEY ARNP
Nurse Practitioner
4464 FREMONT AVE N, SUITE 103
SEATTLE, WA 98103
King County (206) 267-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fremont Family Dentistry's NPI number?

The NPI number for Fremont Family Dentistry is 1326194218. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Fremont Family Dentistry located?

Fremont Family Dentistry is located at 4464 Fremont Ave N Suite 103, Seattle, WA 98103. The listed phone number is (206) 267-7300.

What is Fremont Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Fremont Family Dentistry hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D1006765) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fremont Family Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.